Mrs Jacklyn Sarah Rendfrey, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Atco, New Jersey. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Advanced Spine And Pain Llc and her current practice location is
12 Windingbrook Dr, Atco, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 767-2903.
Mrs Jacklyn Sarah Rendfrey is licensed to practice in New Jersey (license number 41YS00717400) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376883165.
Healthcare Provider's Profile
| Full Name | Mrs Jacklyn Sarah Rendfrey |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 14 Years |
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| Location | 12 Windingbrook Dr, Atco, New Jersey |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jacklyn Sarah Rendfrey graduated from medical school in 2011
NPI Data:
- NPI Number: 1376883165
- Provider Enumeration Date: 02/15/2013
- Last Update Date: 02/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 3678098704
- Enrollment ID: I20250422000120
Medical Identifiers
Medical identifiers for Mrs Jacklyn Sarah Rendfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376883165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 41YS00717400 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Spine And Pain Llc | 0648358234 | 36 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacklyn Sarah Rendfrey allows following entities to bill medicare on her behalf.
| Provider Name | Advanced Spine And Pain Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730359084
PECOS PAC ID: 0648358234
Enrollment ID: O20080423000019 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacklyn Sarah Rendfrey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Jacklyn Sarah Rendfrey, MS CCC-SLP
12 Windingbrook Dr,
Atco, NJ 08004-2902
Ph: (856) 767-2903 | Mrs Jacklyn Sarah Rendfrey, MS CCC-SLP
12 Windingbrook Dr,
Atco, NJ 08004-2902
Ph: (856) 767-2903 |
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